hypoparathyroid?? + PLE/LYMPHANGIECTASIA

[TraceyAnn]

Tucker is now laying down, chewing a chewy, unbelievable!!!!
Back to your obedience classes you could never take, when I had gram, tucker and a mixed old shep, my local yorkie rescue lady told me how beneficial classes are to yorkies. So I enrolled all 3, and they failed, the shep was the better of the 3, but the yorkies wouldn't take their eyes off me to listen to the instructor, Gram was actually biting at her leash to free herself while the instructor was in the middle holding her leash trying to explain commands. Did I feel like an ass. got to love them though..

[dwerten]

Originally Posted by TraceyAnn

Boy Tuckers back!!! I just wasted a whole pack of panacur, he would take a bite and twitch it out of his mouth, even added yogurt, he wanted no parts of it, it must be bad cause he will eat anything, yesterday he did but now he's coming to his senses and knows. So I had to open a new box and make 2 meatballs out of that id dog food and poured the granules in a hole then sealed it, they went right down with a pain pill. I had to run to the vet this am to pick up tramadol for him. He was acting normal, even running, but now the meds are kicking in and kicking his butt. My dogs really react to all sorts of medicines oddly. He ran out today and had a soft bm. no liquid, 1st. time I was glad to see bm. I was ready to celebrate!! I am starting to feel positive about this whole thing, and not so much doom. I'll keep ya posted.
Tracey

lol we look forward to those POOPY dances lol

Glad things are looking up for the little guy - they are so smart i swear

[dwerten]

Originally Posted by TraceyAnn

Tucker is now laying down, chewing a chewy, unbelievable!!!!
Back to your obedience classes you could never take, when I had gram, tucker and a mixed old shep, my local yorkie rescue lady told me how beneficial classes are to yorkies. So I enrolled all 3, and they failed, the shep was the better of the 3, but the yorkies wouldn't take their eyes off me to listen to the instructor, Gram was actually biting at her leash to free herself while the instructor was in the middle holding her leash trying to explain commands. Did I feel like an ass. got to love them though..

LOL yeah my maltese thinks she can walk my yorkies lol. She grabs their leashes and tries to walk them lol . OH yeah I am in control over here lollll can you tell

[TraceyAnn]

Oh Dwerten you'll never believe this one.. I am only going to summerize this for tonight because I am totally fried. Tuck is in critical care unit in malvern, his bowels were so inflamed that it was leaking fluid into in belly and around the heart. They tapped some fluids from the stomach and it looked good, also pancreas ultra sound is fine. 4 nurses and a doc. are going to agressively be working on him through the night. Hope to be home tomorrow eve. Prognosis is very good. I'll fill you in on the juicy stuff after I recooperate. This place was hopping like a human er tv show. dogs flying in the door left and right on litters, it was truely amazing. The place is called VRC, vet referral center emergency service. You name the type doc. and they have it. They are so professional I wish I could go there myself as a patient. Needless to say I'll be selling my kidney on ebay tomorrow to pay the bill. I'll talk to ya later, I am going to bed with my rosary..
Take Care, Tracey I bet you already knew something was wrong cause I didn't write back in awhile, I know you knew!!!!!

[dwerten]

Originally Posted by TraceyAnn

Oh Dwerten you'll never believe this one.. I am only going to summerize this for tonight because I am totally fried. Tuck is in critical care unit in malvern, his bowels were so inflamed that it was leaking fluid into in belly and around the heart. They tapped some fluids from the stomach and it looked good, also pancreas ultra sound is fine. 4 nurses and a doc. are going to agressively be working on him through the night. Hope to be home tomorrow eve. Prognosis is very good. I'll fill you in on the juicy stuff after I recooperate. This place was hopping like a human er tv show. dogs flying in the door left and right on litters, it was truely amazing. The place is called VRC, vet referral center emergency service. You name the type doc. and they have it. They are so professional I wish I could go there myself as a patient. Needless to say I'll be selling my kidney on ebay tomorrow to pay the bill. I'll talk to ya later, I am going to bed with my rosary..
Take Care, Tracey I bet you already knew something was wrong cause I didn't write back in awhile, I know you knew!!!!!

oh wow wth - I am so glad he is ok and glad you went straight to a specialty hospital as I still had my doubts but was so hoping that was all it was. Darn it but i am glad the outcome is looking good and he is with specialists now to get him back on track.

Get some rest and will say some prayers tonight - let me know what the diagnosis was as curious what they finally came up with. Poor little guy I hope this is the last of it for him and he can get better now

[TraceyAnn]

IBD, which they said with that he can live happily, but will have bouts of issues, such as needing an antibiotic here and there. I declined on the biopsy that would have been done next week, because if its cancer even with chemo they only live 3 months. cancer of the stomach or bowel isn't good at all. With his trachea issues why put him through that yet, and they all agreed. I ask is the cancer risk 50/50, they said no less. It was 9pm and he threw up his small breakfast whole that was given at 5am. so nothing was digesting. he actually was dripping liquid from his nose, due to all the fluid. They brought him out to us to say goodnight, all hooked up to iv's, and his head was standing straight up with his blue bow just bopping so beautifully, he is such a trooper, he wants to live, and God willing he will, when his little doggie will to live ever goes, then I will call it quits. When I get him home I will have to do massive searching on this IBD.

[dwerten]

Originally Posted by TraceyAnn

IBD, which they said with that he can live happily, but will have bouts of issues, such as needing an antibiotic here and there. I declined on the biopsy that would have been done next week, because if its cancer even with chemo they only live 3 months. cancer of the stomach or bowel isn't good at all. With his trachea issues why put him through that yet, and they all agreed. I ask is the cancer risk 50/50, they said no less. It was 9pm and he threw up his small breakfast whole that was given at 5am. so nothing was digesting. he actually was dripping liquid from his nose, due to all the fluid. They brought him out to us to say goodnight, all hooked up to iv's, and his head was standing straight up with his blue bow just bopping so beautifully, he is such a trooper, he wants to live, and God willing he will, when his little doggie will to live ever goes, then I will call it quits. When I get him home I will have to do massive searching on this IBD.

well my dex has IBD so I can help you with that. Ibd can lead to lymphangiectasia too. Ibd dogs can have high amylase and lipase on blood work and can test high on cpli test. If diarrhea it is in large intestines and if vomitting it is in small intestines and if doing both the whole tract is inflamed. Usually they do not have the off blood work your describing though so I would still be questioning the lymphangiectasia over ibd. Has your dog always had bouts of vomitting or diarrhea? It is best to have them on a limited ingredient die so this will be key. What about all the stuff on the fecal though? This seems to be more than just ibd but maybe having underlying ibd it made this all worse when he took the panacur and all the meds. IBD dogs should not have nsaids like rimadyl, metacam, etc and you have to be very careful with steroids as well.

Scoping would be tricky with him for firm diagnosis as he has CT - that is a tough call as the endoscopy can affect his trachea

what are they saying is method of treatment for now? I would use tylan powder and no steroids as my fear is still if fungal since they cannot do biopsy of intestines I would be afraid of using steroids on this. Did they rule out histoplasmosis and lymphangiectasia? you need to ask them that as his blood work was way out of whack and that is not usually the case with ibd.

also ask is he under the care of an internal medicine specialist as this is important as well? I just want him to get over this quickly and I still have some questions on this due to that blood work and fecal.

ibd info
http://www.petplace.com/dogs/inflamm...ogs/page1.aspx

[TraceyAnn]

Severe IBD with severediffuse lyphangiectasia, omental edema and lymphangiectasia, severe 3rd spacing of fluid both in abdomin and pleural cavity due to hypoproteinemia, The small liver maybe contributing to the hypoproteinemia, maybe congenital hepatocellular or hepatomicrovascular dysplastic component. I don't detect an extrahepatic portosystemic shunt within the confines of an awake patient, small portal vasculature (dehydration & 3rd spacing) large ascites & digesta filled stomach.
procedure done... a sterile US guided abdominocenttesis & cystocentesis was performed, abdominal effusion is very clear, harvested urine appears normal in color.... Plus I got loads of ultrasound pictures they gave me, which means nothing to me when I look at them, but it was nice they gave them to me. let me know what you're thinking!! Thankyou

[dwerten]

Originally Posted by TraceyAnn

Severe IBD with severediffuse lyphangiectasia, omental edema and lymphangiectasia, severe 3rd spacing of fluid both in abdomin and pleural cavity due to hypoproteinemia, The small liver maybe contributing to the hypoproteinemia, maybe congenital hepatocellular or hepatomicrovascular dysplastic component. I don't detect an extrahepatic portosystemic shunt within the confines of an awake patient, small portal vasculature (dehydration & 3rd spacing) large ascites & digesta filled stomach.
procedure done... a sterile US guided abdominocenttesis & cystocentesis was performed, abdominal effusion is very clear, harvested urine appears normal in color.... Plus I got loads of ultrasound pictures they gave me, which means nothing to me when I look at them, but it was nice they gave them to me. let me know what you're thinking!! Thankyou

yeah that was my concern lymphangiectasia as this is not normal ibd and blood work showed low calcium and low protein which is usually the case with this disease as blood work shows low calcium, low cholesterol and low protein with this disease

what are they recommending at this time?

Personally if this was my dog I would consult Holistic Veterinarian Pet Nutritionist Holistic Pet Care who is a nutritionist and try to conrol with diet as other treatment will be steroids so maybe she can work with the specialist on this

[TraceyAnn]

the doc. called, he's comfortable, and eating, I have an appt. for wed. at 2pm. with a nutritionalist from there, he's on a ZD ? diet, without a biopsy they can't be certain about cancer or maybe type of ibd? I think he said type, or maybe even if it's for sure ibd. He said no way to fungal why I don't know, he said yes the worms could have agravated things, but this he thinks would have happened no matter what. Was I wrong to not put him down peacefully, am I extending his agony for doom, I just couldn't put him down without a shot.

[TraceyAnn]

Dwerten,
the new paperwork does say he suffers from PLE, they did not put him on prednisone because they are giving me a chance to decide about the biopsy. I don't think I am seeing a nutrition person, its to repeat labs and to discuss the biopsy decision.

[dwerten]

Originally Posted by TraceyAnn

the doc. called, he's comfortable, and eating, I have an appt. for wed. at 2pm. with a nutritionalist from there, he's on a ZD ? diet, without a biopsy they can't be certain about cancer or maybe type of ibd? I think he said type, or maybe even if it's for sure ibd. He said no way to fungal why I don't know, he said yes the worms could have agravated things, but this he thinks would have happened no matter what. Was I wrong to not put him down peacefully, am I extending his agony for doom, I just couldn't put him down without a shot.

NO WAY DO NOT PUT HIM DOWN. He will be fine. I agree the worms aggravated it as the blood work showed all this and worms or fungal they would not show on blood work. Ultra z/d worked great for dex ibd so give that a shot before homecooking. I know susan davis has saved alot of yorkie lives on here with PLE and EPI. She knows her stuff and I have personally met her. I would trust her as have seen the best results with her out of anyone. You can contact luvmysissy on here she knows her and personally works with her and Jodi knows her stuff big time. She has a dog like me with health issues and I talk to her and she is sharp. She loves Susan and has worked with her for years.

The only prob i had with ultra zd is it made dex itch hopefully it will not yours so definitely give it a shot as it is hydrolized and will be easier to digest so works great for ibd dogs.

[dwerten]

Originally Posted by TraceyAnn

Dwerten,
the new paperwork does say he suffers from PLE, they did not put him on prednisone because they are giving me a chance to decide about the biopsy. I don't think I am seeing a nutrition person, its to repeat labs and to discuss the biopsy decision.

PLE is is tied to lymphangiectasia so it is all the same stuff. Honestly with the CT I do not know if I would risk doing endocscopy and biopsy as I think the blood work and urine are giving you enough information to treat this but it is up to you to make that choice.

I know with lisette's dog the blood work was perfect so the scoping gave the fungal diagnosis so I wouldn't have treated with steroids with perfect blood work before scoping so it is all up to what the blood work is showing

I would talk to Jodi as well as she really knows ALOT about this as well

[dwerten]

Here is some info

http://www.akcchf.org/pdfs/whitepapers/Yorkshire07.pdf

Intestinal Lymphangiectasia

Print this Veterinary Partner Article

[TraceyAnn]

It's 10:30pm, I have to take him back, he's falling over again! I bet he stays again, he had hetastarch last night and I think soon as it wears off he's back to being sick. so far he's back on flagyl, and calcium, what do you think.